Healthcare Provider Details
I. General information
NPI: 1265315535
Provider Name (Legal Business Name): AM WELL ASSISTANCE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
48 CURTIS LN
MILFORD ME
04461-3325
US
IV. Provider business mailing address
48 CURTIS LN
MILFORD ME
04461-3325
US
V. Phone/Fax
- Phone: 218-484-5004
- Fax:
- Phone: 218-484-5004
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPHINE
BOUCHARD
Title or Position: OWNER
Credential:
Phone: 207-852-8976